Current Reimbursement Landscape of Artificial Intelligence.

Authors :: Wu G
Segovis CS
Nicola LP
Chen MM
Source :: Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2023 Oct; Vol. 20 (10), pp. 957-961. Date of Electronic Publication: 2023 Aug 19.
Publication Year :: 2023
Abstract: One of the biggest hurdles to widespread adoption of new procedures and technology such as artificial intelligence (AI) algorithms is payment and coverage policy. Noninvasive assessment of coronary fractional flow reserve is one AI imaging algorithm that will successfully achieve reimbursement through multiple pathways of CMS payment mechanisms in 2024. CMS is the largest provider of health care in the United States. Understanding how this AI algorithm is paid through the different fee schedules will help to understand the challenges CMS has in paying for new services and innovation in the United States.<br /> (Copyright © 2023 American College of Radiology. Published by Elsevier Inc. All rights reserved.)